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1497180947
IVAN THOMAS
PINE BLUFF, AR
NPI
1497180947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
-- IVAN THOMAS
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
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Mailing Address
-- IVAN THOMAS
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
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